HESI RN PEDS RETAKE EXAM 2023-2024 /RN HESI PEDS RETAKE ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) | ALREADY GRADED A+

HESI RN PEDS RETAKE EXAM 2023-2024 /RN HESI PEDS

RETAKE ACTUAL EXAM 100 QUESTIONS AND CORRECT

DETAILED ANSWERS WITH RATIONALES (VERIFIED

ANSWERS) | ALREADY GRADED A+

A nurse is caring for an infant with a diagnosis of hydrocephalus. Preoperatively, a

priority nursing intervention is to:

a) test the urine for protein

b) reposition the infant frequently

c) provide a stimulating environment

d) assess blood pressure every 15 minutes

b) reposition the infant frequently

Rationale: Hydrocephalus occurs as a result of imbalance of cerebrospinal fluid

absorption or production that is caused by malformations, tumors, hemorrhage,

infections, or trauma. It results in head enlargement and increased intracranial

pressure. In infants w/ hydrocephalus, the head grows at an abnormal rate, and if

infant is not repositioned frequently, pressure ulcers can occur on the back & side

of the head. An egg crate mattress under the head is also a nursing intervention.

Stimulus should be kept at a minimum b/c of the increase in ICP. It is not

necessary to check the BP every 15mins.

A 10-year-old child with asthma is treated for acute exacerbation in the emergency

department. The nurse caring for the child should monitor for which sign, knowing

that it indicates a worsening of the condition?

a.Warm, dry skin

b.Decreased wheezing

c.Pulse rate of 90 beats/minute

d.Respirations of 18 breaths/minute

b. decreased wheezing

Rationale: Asthma is a chronic inflammatory disease of the airways. Decreased

wheezing in a child with asthma may be interpreted incorrectly as a positive sign

when it may actually signal an inability to move air. A "silent chest" is an ominous

sign during an asthma episode. With treatment, increased wheezing actually may

signal that the child's condition is improving. Warm, dry skin indicates an

improvement in the child's condition because the child is normally diaphoretic

during exacerbation. The normal pulse rate in a 10 year old is 70-110 beats/min

and normal respiratory rate is 16-20 breaths/minute.

Which assessment findings should lead the nurse to suspect that a toddler is

experiencing respiratory distress? Select all that apply.

1. Coughing

2. Respiratory rate of 35 bp/m

3. Heart rate of 95 bpm

4. restlessness

5. malaise

6. diaphoresis

1. Coughing

2. Respiratory rate of 35 bp/m

4. restlessness

6. diaphoresis

When preparing the teaching plan for the mother of a child with asthma, what info

should the nurse include as a sign to alert the mother that her child is having an

asthma attack

a. secretion of thin, copious mucus

b. tight, productive cough

c. wheezing on expiration

d. temp of 99.4

c. wheezing on expiration

Which factor, if described by the parents of a child with Cystic Fibrosis, indicates

understanding the underlying problem of the disease

a. an abnormality in the body's mucus secreting glands

b. formation of fibrous cysts in various body organs

c. failure of the pancreatic ducts to develop properly

d. reaction to the formation of antibodies against streptococcus

a. an abnormality in the body's mucus secreting glands

What type of diet should the nurse teach the parents to give an older infant with

cystic fibrosis?

High-calorie diet

A new parent expresses concern to the nurse regarding sudden infant death

syndrome. She asks the nurse how to position her new infant for sleep. In which

position should the nurse tell the parent to place the infant?

A) Side or prone

B) Back or prone

C) Stomach with face turned

D) Back rather than on stomach

D) Back rather than on stomach

Rationale::SIDS is the unexpected death of an apparently healthy infant younger

than 1 year for whom an investigation of the death and a thorough autopsy fail to

show an adequate cause of death. Several theories are proposed regarding the

cause, but the exact cause is unknown. Nurses should encourage parents to place

the infant on the back (supine) for sleep. Infants in the prone position (on the

stomach) may be unable to move their heads to the side, increasing the risk of

suffocation. The infant may have the ability to turn to a prone from the side-lying

position.

The mother of a hospitalized 2 year old child with viral laryngotracheobronchitis

(croup) asks the nurse why the health care provider did not prescribe antibiotics.

Which response should the nurse make?

1. "The child may be allergic to antibiotics."

2. "The child is too young to receive antibiotics."